PMID: 9183460Jan 1, 1997Paper

Intracavernous injections and new medical treatments of impotence

La Revue de médecine interne
R Virag

Abstract

Intracavernous injections (IIC) of vasoactives drugs is the most frequent treatment of erectile dysfunction (ED). Indications, technique and immediate as well as long term results are presented here. A retrospective quantified study of the follow up at 5 years of use shows that 94% of the patients who still use the treatment are satisfied, comparing with 48% who have stopped, and 21% who have never taken it. The overall rate of patients cured (i.e.; having a normal sexual life, without using the treatment) is 26.6%. The drop out rate linked to the treatment itself is 25%. Complications are seldom and benign: 7% of prolonged erection episodes, all solved by a medical regimen, mostly administered by the patient itself; nodules are present in 3% of the patients or do not interfere with the efficacy of the treatment; they are 1.6% Peyronie's like plaques. Perspectives opened by new treatments such as the Muse system and oral therapy by sildenafil or apomorphine are discussed.

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